ARCOMA PRECISION i5 User manual

Operation Manual
ARCOMA PRECISION i5
Doc.No.: 1000-095-051-EN Rev. 1.1

ARCOMA PRECISION i5
INTENDED USE
The System is a stationary X-ray system intended for obtaining radiographic images of
various portions of the human body in a clinical environment.
The System is not intended for mammography.
CAUTION: US Federal Law restricts this device to sale by or on order of a physician.
ARCOMA AB 1000-095-051-EN Rev. 1.1 Operation Manual
SWEDEN 2020-06-16

Revision
Revision history Update Chapter/
Pages
Rev Date
New Release 1.1 2020-06
Operation Manual 1000-095-051-EN Rev. 1.1 ARCOMA AB
2020-06-16 SWEDEN

Revision
ARCOMA AB 1000-095-051-EN Rev. 1.1 Operation Manual
SWEDEN 2020-06-16

Contents
1 Introduction ...............................................................................................1
1.1 Document information....................................................................................1
1.1.1 System documentation ............................................................................1
1.1.2 Stylistic conventions ................................................................................1
1.1.3 Document producer.................................................................................1
1.1.4 Copyright © 2020 Arcoma Corporation all rights reserved...........................1
1.1.5 Text emphasis.........................................................................................1
1.2 Identification Labels .......................................................................................3
1.3 System Description........................................................................................6
1.3.1 General ..................................................................................................6
1.3.2 Intended Use ..........................................................................................6
1.3.3 Configuration ..........................................................................................6
1.3.4 System Overview ....................................................................................7
1.3.5 Overhead Tube Crane, overview ..............................................................8
1.3.6 Table overview........................................................................................9
1.3.7 Wall stand Overview..............................................................................10
2 Safety ..........................................................................................................11
2.1 Modification of equipment............................................................................. 11
2.2 Compliance.................................................................................................12
2.3 Qualifications of Personnel ...........................................................................13
2.3.1 Operating Personnel .............................................................................13
2.3.2 Service Personnel .................................................................................13
2.4 Service and Maintenance .............................................................................14
2.4.1 Operation, Installation and Repair ..........................................................14
2.5 Safety and Warning Symbols........................................................................16
2.6 Safety and Warning Labels on the Equipment ................................................17
2.7 Emergency stop...........................................................................................18
2.8 Radiation and X-ray Tube.............................................................................19
2.9 Mechanical Safety .......................................................................................20
2.9.1 General ................................................................................................20
2.9.2 Overhead Tube Crane ...........................................................................21
2.9.3 Table....................................................................................................22
2.9.4 Wallstand .............................................................................................24
2.10 Safety issues when placing the patient ..........................................................25
2.10.1 Working area ........................................................................................27
2.10.2 Weight restrictions, table........................................................................28
2.11 Safety Functions..........................................................................................29
2.11.1 Table Safety Zone and OTC...................................................................29
2.11.2 Wall stand Safety Zone..........................................................................29
2.11.3 Motorized tilt .........................................................................................29
2.11.4 Collision Detection ................................................................................30
2.11.5 Quick abortion of an auto positioning ......................................................31
2.11.6 Opposite buttons pressed ......................................................................31
2.11.7 Dead man’s grip....................................................................................31
2.12 Electromagnetic compatibility (EMC) .............................................................32
3 User Interface ........................................................................................ 39
3.1 Overhead Tube Crane..................................................................................39
3.1.1 Direction of Movement...........................................................................39
3.1.2 Sound Signal ........................................................................................40
3.1.3 System Display Overview ......................................................................41
3.2 Automatic Collimator Control ........................................................................42
3.2.1 Automatic collimator..............................................................................43
3.2.2 Display user interface ............................................................................46
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Contents
3.2.3 Patient Information ................................................................................47
3.2.4 Position Information ..............................................................................47
3.2.5 Adjustment of Generator Parameters (kV, mA, ms, mAs, Density).............48
3.2.6 Settings................................................................................................48
3.2.7 System Mode........................................................................................55
3.2.8 Hospital manual ....................................................................................60
3.2.9 Selection of Technique Mode .................................................................61
3.2.10 Patient Size ..........................................................................................63
3.2.11 Collimator Centering..............................................................................64
3.2.12 Servo State Mode .................................................................................65
3.2.13 Grid Status ...........................................................................................66
3.2.14 System Mode........................................................................................68
3.2.15 Light indication......................................................................................73
3.3 Exposure ....................................................................................................74
3.3.1 Exposure Hand Control .........................................................................74
3.3.2 Exposure Index.....................................................................................74
3.3.3 Deviation Index .....................................................................................74
3.4 Image System .............................................................................................75
3.5 Remote control (option)................................................................................76
3.6 Servo Button ...............................................................................................78
3.6.1 External Servo Button Module ................................................................78
3.6.2 Indication Light......................................................................................78
3.6.3 DAP ....................................................................................................78
3.7 Table Control elements.................................................................................79
3.7.1 Directions of Movement .........................................................................79
3.7.2 Power Indication ...................................................................................79
3.7.3 Foot Control, Table X/Y/Z (option) ..........................................................80
3.7.4 Foot control, wireless (option) ................................................................80
3.7.5 XY Foot Control, Strip Type (Option).......................................................82
3.7.6 Table Hand Control ...............................................................................83
3.7.7 Moving Table Top..................................................................................84
3.7.8 Vertical Travel Safety (option).................................................................84
3.7.9 Attach/Remove Accessories ..................................................................85
3.7.10 Motorized Imaging Unit Movement .........................................................86
3.8 Wall stand Control Elements.........................................................................87
3.8.1 Wall stand Controls ...............................................................................87
4 Operating the System........................................................................ 91
4.1 General.......................................................................................................91
4.1.1 Applied Parts ........................................................................................91
4.2 Turn on the system ......................................................................................92
4.3 Turn off the system ......................................................................................94
4.4 Perform examination....................................................................................96
4.4.1 Select patient........................................................................................96
4.4.2 Start examination ..................................................................................97
4.4.3 Position the system ...............................................................................98
4.4.4 Adjust position and collimator for chosen examination and patient ............98
4.4.5 Exposure..............................................................................................99
4.4.6 Review image ..................................................................................... 101
4.4.7 Change work space.............................................................................101
4.4.8 Basic exposure error handling.............................................................. 103
4.5 Movement Short-cut Zones.........................................................................104
4.5.1 Wallstand Short-cut Zone .................................................................... 105
4.5.2 Table Short-cut Zone ...........................................................................105
4.6 Transport Interval Zone ..............................................................................106
4.7 Manual Mode ............................................................................................107
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Contents
4.7.1 Activation of Manual Mode................................................................... 107
4.8 Free Examination Procedures..................................................................... 109
4.8.1 Free Mode..........................................................................................109
4.8.2 Auto Position Mode ............................................................................. 109
4.9 X-ray Table Examination Procedures........................................................... 111
4.9.1 Table Flexible Mode ............................................................................ 111
4.9.2 Film Tracking Mode ............................................................................. 112
4.9.3 Pendulum Mode.................................................................................. 113
4.9.4 Stitching Table Mode (Option) .............................................................. 114
4.10 Wallstand Examination Procedures ............................................................. 116
4.10.1 Wall Flexible Modes ............................................................................ 116
4.10.2 NoWait Configuration .......................................................................... 118
4.10.3 Stitching Wallstand Mode .................................................................... 119
4.10.4 AEC Technique Setup .........................................................................120
4.11 Detector, Wallstand....................................................................................121
4.11.1 14x17 Detector, Wallstand ................................................................... 122
4.11.2 17x17 Detector, Wallstand ................................................................... 126
4.12 Portable detector, table ..............................................................................129
4.12.1 Set the detector...................................................................................129
4.12.2 Change between portrait and landscape ............................................... 131
4.12.3 Remove detector.................................................................................132
4.12.4 Exchange grid.....................................................................................133
5 Error Handling.....................................................................................135
5.1 Fault Handling ...........................................................................................135
5.1.1 Notifications........................................................................................135
5.2 Diagnostic.................................................................................................139
6 Cleaning..................................................................................................141
6.1 General.....................................................................................................141
6.2 Collimator..................................................................................................142
6.3 Wallstand, Table, OTC and X-ray Tube........................................................ 143
7 Function and safety checks.........................................................145
7.1 Monthly Checks.........................................................................................145
7.1.1 General .............................................................................................. 145
7.1.2 OTC...................................................................................................145
7.1.3 Table..................................................................................................145
7.1.4 Wallstand ...........................................................................................145
8 Technical specification...................................................................147
8.1 Subsystem 0072........................................................................................147
8.1.1 Electrical Characteristics ..................................................................... 147
8.1.2 Environmental Requirements ............................................................... 147
8.2 Ceiling suspended X-ray tube support .........................................................148
8.2.1 General .............................................................................................. 148
8.2.2 Configuration ......................................................................................148
8.2.3 Weight................................................................................................148
8.2.4 Electrical Characteristics ..................................................................... 148
8.2.5 Classification ......................................................................................148
8.2.6 Speed ................................................................................................149
8.3 Cabinet .....................................................................................................150
8.3.1 Dimensions ........................................................................................150
8.3.2 Weight................................................................................................150
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Contents
8.4 Table.........................................................................................................151
8.4.1 Column ..............................................................................................151
8.4.2 Table Top............................................................................................151
8.4.3 Weight................................................................................................151
8.4.4 Electrical Characteristics ..................................................................... 151
8.5 Wall stand .................................................................................................152
8.5.1 Attenuation equivalent .........................................................................152
8.5.2 Weight................................................................................................152
8.5.3 Speed ................................................................................................152
9 Waste Disposal ...................................................................................153
10 Accessories..........................................................................................155
10.1 General.....................................................................................................155
10.1.1 Table..................................................................................................155
10.1.2 Wallstand ...........................................................................................156
10.1.3 Detector .............................................................................................156
10.1.4 Grid....................................................................................................156
11 Appendix A............................................................................................157
11.1 Glossary ...................................................................................................157
12 Appendix B............................................................................................161
12.1 Monthly Checklist.......................................................................................161
12.1.1 OTC................................................................................................... 161
12.1.2 Remark ..............................................................................................164
12.2 Annual Checks ..........................................................................................165
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Introduction
Document information
1 Introduction
1.1 Document information
• It is important to keep this document for the life of the equipment, and pass the document
on to any subsequent holder or user of the equipment.
• The original version of this manual is written in English.
• Training is provided by or via Arcoma. Training material consists of the Operation manual
and the Installation and service manual.
1.1.1 System documentation
The following documentation is available for the system:
• Installation and service manual
• Operation manual
• Planning guide
1.1.2 Stylistic conventions
All warning label texts are shown in italic style in this manual.
All references are shown in italic style in this manual.
1.1.3 Document producer
This document has been produced by:
Arcoma AB
Annavägen 1
S–352 46 VÄXJÖ,
Sweden
www.arcoma.se
1.1.4 Copyright © 2020 Arcoma Corporation all rights reserved
The reproduction, transmission or use of this document or its content is not permitted without
express written authority. Offered will be liable for damages. All rights, including rights cre-
ated by patent grant or registration of a utility model or design, are reserved.
1.1.5 Text emphasis
WARNING!
All texts labelled with “WARNING” call attention to potential risk to health or life.
CAUTION!
All texts labelled with “CAUTION” contain information about dangerous situations
and measures to avoid risk.
Operation Manual 1000-095-051-EN Rev. 1.1 ARCOMA AB
2020-06-16 Page 1 SWEDEN

Introduction
Document information
Note!
All texts labelled with “NOTE” contain additional information regarding the work step, and is
provided for a better understanding or as a warning about unnecessary and avoidable
difficulties.
ARCOMA AB 1000-095-051-EN Rev. 1.1 Operation Manual
SWEDEN Page 2 2020-06-16